The HEALTH : January 2019 | Page 12

12 12 The Health | january, 2019 2019 budget 2019 Budget for healthcare aims for impact T he Ministry of Health receives RM29 billion alloca- tion for 2019 Budget, looking for better healthcare among low-income Malaysians Healthcare is a thing each and every one of us literally can’t live without. From taking care of our- selves through proper diet and exercise, to getting medication for an infection – we will always need a certain form of healthcare to live. Therefore for us to have obstructions to receive healthcare, barriers blocking us from ridding ourselves from diseases, can be heartbreaking. We all know that treatment for chronic diseases are tremendously expensive, and many of us suffer from finding the means to get treated. The hopes of making things a little less difficult for Malaysians has been initiated recently through 2019 Budget’s record-breaking budget allocation and initiatives for the healthcare sector. The National B40 Health Protection Fund is proposed to help people from low-income group (in and out of the city) to receive treatment easier and much less expensive. The initiative is certainly an impactful one for many Malaysians suc- cumbing to certain diseases. Will it be as effective as it aims to be? We certainly hope so. – The Health Positive steps in transforming Malaysian healthcare T he Galen Center for Health and Social Policy was one of the first to lend their take on the newly imposed initiatives by the Ministry of Health. The current government received applause by Galen Center for ensuring the commitment for healthcare has been upheld and improved. The people of the low-income group, also known as B40, were especially focused on by the National B40 Health Protection Fund. It is said to ensure pre- paredness and resilience in responding to ongoing and future health challenges, particularly for non-communicable diseases (NCDs). However, there has been a number of concerns on the proposed healthcare fund, primarily on the financial sustain- ability of it all. Commenting on the recent 2019 Budget tabling, Azrul Mohd Khalib, CEO of Galen Center for Health and Social Policy said, “It is a welcoming news that in their very first budget, the new government has continued the previous government’s commitment of incrementally increasing the alloca- tion for health. This is the highest ever allocation, at RM29 billion. It is an increase of 7.8% compared to this year and making up almost 10% of the overall budget.” “The government took the first posi- tive step today in investing and aiming to transform Malaysian healthcare from a sickness service to a health and well- being service,” he continued. Sugar tax and other heartening initiatives Azrul also said that some of the initia- tives announced at the tabling came as a surprise, and that it is heartening to note that the government has taken up on their recommendation to impose a sugar tax or excise duties on sugar sweetened beverages at the manufacturing stage. “This will have the intended result of manufacturers taking initiative and being incentivized to reduce the sugar content in their products to avoid being taxed.” Having said that, Azrul also men- tioned that a sugar tax alone will not solve the obesity crisis. “The revenue collected by the imposed tax should go directly to funding public health programs designed to deal with NCDs such as diabetes and cancer. Ear- marking this revenue for this purpose would help strengthen the effectiveness and sustainability of current health literacy and NCD prevention programs, particularly as there has been a reduction in the allocation for health education.” Bigger allocation means better healthcare Azrul explained that the increase of allocation for the supply of drugs, “The government took the first positive step today in investing and aiming to transform Malaysian healthcare from a sickness service to a health and well-being service.” – Azrul Mohd Khalib consumables, vaccines and reagents is certainly good news for patients. “In the past, insufficient funds have resulted in shortages of essential drugs needed to treat diseases, particularly NCDs such as hypertension, heart disease, and diabetes.” “These shortages affected those most vulnerable such as senior citizens, pensioners, and these in the B40 and M40 households who can afford no other choice and depend solely on public healthcare for treatment,” he elaborated. 2019 Budget had also announced a nationwide health screening pilot program aimed at almost a million individuals aged 50 and above in B40 households, as well as the different screening initiatives targeted to women. “These initiatives are certainly wel- comed, but will face significant known challenges, particularly linking individu- als to diagnosis and treatment.” “There must be investment in interventions which address this problem,” warned Azrul.